Factores de riesgo del aborto incompleto en adolescentes atendidas en el Hospital Alfredo Paulson junio - noviembre 2016
Fecha
2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La Organización Mundial de la Salud ha definido el aborto como: “la expulsión o
extracción de su madre de un embrión o feto que pese 500 gramos o menos”. Este peso
corresponde a una edad gestacional entre 20-22 semanas. Como en el aborto retenido no ha
ocurrido la expulsión, se podría definir mejor al aborto corno la interrupción de un
embarazo menor de 20-22 semanas o la pérdida de un embrión o de un feto que pesa menos
de 500 gramos, el siguiente estudio investigativo se realizo en el hospital de la mujer
Alfredo g. Paulson en el periodo comprendido de junio a noviembre del 2016.La
investigación que es de tipo retrospectivo ya que tomados datos de las historias clínicas de
las pacientes con previa autorización del departamento técnico. Este análisis permite
establecer los datos de las pacientes adolescentes atendidas en el Hospital de la mujer
Alfredo G. Paulson con diagnostico de aborto incompleto, en cuanto a la edad cronológica
se determino el 70% fueron de un rango de edad 15-19 años; edad gestacional 87% entre 1
a 12 semanas de gestación; como antecedentes gineco- obstétricos se manifiesta en un alto
índice como antecente gineco-obstetrico el aborto en recurrencia con un 82%; en cuanto a
las manifestaciones clínicas aquellas determino que en menor porcentaje las pacientes
presentaron solo fiebre y dolor pélvico en un 19%; está presente hemorragia que 90% está
presente; anemia el 65% no presento; procedimiento se realizo 100% legrado uterino
instrumental; que se evidencio restos en un 87% restos ovulares.
The World Health Organization has defined abortion as "the expulsion or removal of its mother from an embryo or fetus weighing 500 grams or less." This weight corresponds to a gestational age between 20-22 weeks. Since abortion has not occurred, abortion could be better defined as the interruption of a pregnancy less than 20-22 weeks or the loss of an embryo or fetus weighing less than 500 grams, the following investigative study Was performed in the women's hospital Alfredo g. Paulson in the period comprised from June to November of 2016. The research is a retrospective one since we took data from the patients' medical records with the prior authorization of the technical department. This analysis allows to establish the data of the adolescent patients attended in the Hospital of the woman Alfredo G. Paulson with diagnosis of incomplete abortion, as far as the chronological age was determined 70% were of a range of age 15-19 years; Gestational age 87% between 1 and 12 weeks of gestation; As a gynecological-obstetric history is manifested in a high rate as a previous gynecological-obstetric abortion in recurrence with 82%; In terms of clinical manifestations, I found that in a lower percentage, patients presented only fever and pelvic pain in 19%; Bleeding is present which 90% is present; Anemia 65% did not present; Procedure performed 100% instrumental uterine curettage; Which was evidenced remains in 87% ovular remains.
The World Health Organization has defined abortion as "the expulsion or removal of its mother from an embryo or fetus weighing 500 grams or less." This weight corresponds to a gestational age between 20-22 weeks. Since abortion has not occurred, abortion could be better defined as the interruption of a pregnancy less than 20-22 weeks or the loss of an embryo or fetus weighing less than 500 grams, the following investigative study Was performed in the women's hospital Alfredo g. Paulson in the period comprised from June to November of 2016. The research is a retrospective one since we took data from the patients' medical records with the prior authorization of the technical department. This analysis allows to establish the data of the adolescent patients attended in the Hospital of the woman Alfredo G. Paulson with diagnosis of incomplete abortion, as far as the chronological age was determined 70% were of a range of age 15-19 years; Gestational age 87% between 1 and 12 weeks of gestation; As a gynecological-obstetric history is manifested in a high rate as a previous gynecological-obstetric abortion in recurrence with 82%; In terms of clinical manifestations, I found that in a lower percentage, patients presented only fever and pelvic pain in 19%; Bleeding is present which 90% is present; Anemia 65% did not present; Procedure performed 100% instrumental uterine curettage; Which was evidenced remains in 87% ovular remains.
Descripción
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Palabras clave
Embarazo en adolescencia, Aborto incompleto, Factores de riesgo, Sangrado transvaginal, Estudios retrospectivos, Hospital de la Mujer Alfredo G. Paulson, Cantón Guayaquil, Ecuador